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General NPI Number Information
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NPI Number | 1700102449
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Entity Type | Individual
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Provider Name | JASON PATRICK CALLIGAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 7847 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-5505
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Country | US
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Telephone | 318-212-3960
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Fax | 318-212-3907
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Provider Business Mailing Address
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Address Line | 7847 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-5505
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Country | US
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Telephone | 318-212-3960
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Fax | 318-212-3907
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 074391
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DR.0060295
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 74391
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 320483
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License Number State | LA
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